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Home My WebLink AboutInformal Bidding FY 202324 PreQualification ApplicationCity of Palm Desert Informal Bidding Pre-Qualification Application FY 2023-2024 Page | 1 CITY OF PALM DESERT REQUEST FOR STATEMENT OF QUALIFICATIONS FOR “INFORMAL BIDDING” OF CERTAIN CONSTRUCTION PROJECTS BY THE CITY OF PALM DESERT FOR THE 2023-2024 FISCAL YEAR. 73510 Fred Waring Drive, Palm Desert, CA 92260 Please email completed form to rtrupiano@palmdesert.gov City of Palm Desert Informal Bidding Pre-Qualification Application FY 2023-2024 Page | 2 PRE-QUALIFICATION APPLICATION; INFORMAL BIDDING (City of Palm Desert Municipal Code 1392 for Projects Valued Between $75,000 and $250,000) FOR THE 2023-2024 FISCAL YEAR The undersigned Applicant requests that the City of Palm Desert (“City”) pre-qualify the Applicant to bid on the City’s informally bid projects, as authorized by City of Palm Desert Municipal Code 1392. 1. Applicant Information. Complete the following to provide information about the Applicant. Firm/Company Name ____________________________________________________ Physical Office Location _____________________________________________________ (Address) _____________________________________________________ (City, State and Zip Code) Mailing Address (if different from physical office address) _____________________________________________________ (Address) _____________________________________________________ (City, State and Zip Code) Applicant Contacts ____________________________ (Name) ____________________________ (Phone) ____________________________ (email) ____________________________ (Name) ____________________________ (Phone) ____________________________ (email) Applicant California Contractors’ License ___________ ______________ ___________________________ (License No.) (Expiration Date) (Classifications) Applicant DIR Registration __________________ ____________________________ (DIR Registration No.) (Expiration Date) 2. Pre-Qualification. The Applicant requests to be pre-qualified for submitting proposals for the City’s informally bid projects in the classification(s) noted by the Applicant in Exhibit A (Pre-Qualification Classifications) attached to this Pre-Qualification Application. 3. Applicant Annual Revenue. Complete the following. If the Applicant is engaged in business enterprises other than construction, responses to the following are limited to the Applicant’s construction operations. Calendar Year/ Fiscal Year Annual Gross Revenue Average Dollar Value of all Contracts Dollar Value of Largest Contract 2020 (FY 2020/2021) 2021 (FY 2021/2022) 2022 (FY 2022/2023) [CONTINUED NEXT PAGE] City of Palm Desert Informal Bidding Pre-Qualification Application FY 2023-2024 Page | 3 4. Applicant Insurance and Bonding. Complete the following for the Applicant’s current General Liability Insurance, Workers Compensation Insurance and bonding capacity. General Liability Insurance Insurer: __________________________ Policy No. _________________________ Broker _________________________ __________________________ (Liability Insurance Broker Contact Name) __________________________________ (Street Address) __________________________________ (City, State & Zip Code) (____) ____________ (____) _________ Telephone Fax _________________________________ Email address Coverage Limits: Per Occurrence: ____________________________ Dollars ($_________) Aggregate: ____________________ Dollars ($__________) Automobile Liability Insurance Insurer: __________________________ Policy No. _________________________ Broker _________________________ __________________________ (Insurance Broker Contact Name) __________________________________ (Street Address) __________________________________ (City, State & Zip Code) (____) ____________ (____) _________ Telephone Fax _________________________________ Email address Coverage Limits: Per Occurrence: ____________________________ Dollars ($_________) Aggregate: ____________________ Dollars ($__________) Bid, Performance and Labor & Materials Payment Bonds Surety: _______________________ Surety Broker __________________________ __________________________________ (Surety Broker Contact Name) _________________________________ (Street Address) __________________________________ (City, State & Zip Code) (___) ____________ (__) _____________ Telephone Fax __________________________________ (Email address) Bonding Capacity: Maximum Per Project: ____________________________ Dollars ($______________) Maximum All Projects ____________________________ Dollars ($______________) City of Palm Desert Informal Bidding Pre-Qualification Application FY 2023-2024 Page | 4 Workers Compensation Insurance Insurer: _________________________________ Policy No. _________________________________ Broker __________________________________ _____________________________________________________ (Broker Contact Name) _____________________________________________________ (Street Address) _____________________________________________________ (City, State & Zip Code) (______) __________________ (______) ___________________ Telephone Fax ____________________________________________ (Email address) [CONTINUED NEXT PAGE] City of Palm Desert Informal Bidding Pre-Qualification Application FY 2023-2024 Page | 5 5. Current Public Works Projects. Complete the following to identify all public works construction projects for which the Applicant is under contract as of the date of submitting this Application. Duplicate this page as necessary to identify all of the Applicant’s current public works projects. Project Description Owner and Owner Contact Information Architect and Architect Contact Information Contract Information _________________________________ __________________________________ Owner Name __________________________________ Owner Contact Person __________________________________ Owner Contact Phone Number __________________________________ Owner Contact email __________________________________ Architect Name __________________________________ Architect Contact Person __________________________________ Architect Contact Phone Number __________________________________ Architect Contact email __________________________________ Applicant Contract Value __________________________________ Applicant Scope of Work __________________________________ Percentage Complete; Applicant Work __________________________________ Percentage Complete; Overall Project _________________________________ __________________________________ Owner Name __________________________________ Owner Contact Person __________________________________ Owner Contact Phone Number ________________________________ Owner Contact email __________________________________ Architect Name __________________________________ Architect Contact Person __________________________________ Architect Contact Phone Number __________________________________ Architect Contact email __________________________________ Applicant Contract Value __________________________________ Applicant Scope of Work __________________________________ Percentage Complete; Applicant Work __________________________________ Percentage Complete; Overall Project _________________________________ ___________________________________ Owner Name ___________________________________ Owner Contact Person ___________________________________ Owner Contact Phone Number ___________________________________ Owner Contact email ___________________________________ Architect Name ___________________________________ Architect Contact Person ___________________________________ Architect Contact Phone Number ___________________________________ Architect Contact email ___________________________________ Applicant Contract Value ___________________________________ Applicant Scope of Work ___________________________________ Percentage Complete; Applicant Work ___________________________________ Percentage Complete; Overall Project City of Palm Desert Informal Bidding Pre-Qualification Application FY 2023-2024 Page | 6 6. Prior Public Works Projects. Complete the following to identify all public works construction projects for which the Applicant completed in the three (3) years preceding the date of submitting this Application. Duplicate this page as necessary to identify all of the Applicant’s public works projects completed in the preceding three (3) years. Project Description Owner and Owner Contact Information Architect and Architect Contact Information Contract Information __________________________________ __________________________________ Owner Name __________________________________ Owner Contact Person __________________________________ Owner Contact Phone Number __________________________________ Owner Contact email __________________________________ Architect Name __________________________________ Architect Contact Person __________________________________ Architect Contact Phone Number __________________________________ Architect Contact email __________________________________ Applicant Scope of Work __________________________________ Applicant’s Original Contract Value __________________________________ Applicant’s Final Contract Value __________________________________ __________________________________ Owner Name __________________________________ Owner Contact Person __________________________________ Owner Contact Phone Number __________________________________ Owner Contact email __________________________________ Architect Name __________________________________ Architect Contact Person __________________________________ Architect Contact Phone Number __________________________________ Architect Contact email __________________________________ Applicant Scope of Work __________________________________ Applicant’s Original Contract Value __________________________________ Applicant’s Final Contract Value _________________________________ __________________________________ Owner Name __________________________________ Owner Contact Person __________________________________ Owner Contact Phone Number __________________________________ Owner Contact email ___________________________________ Architect Name ___________________________________ Architect Contact Person ___________________________________ Architect Contact Phone Number ___________________________________ Architect Contact email ___________________________________ Applicant Scope of Work ___________________________________ Applicant’s Original Contract Value ___________________________________ Applicant’s Final Contract Value City of Palm Desert Informal Bidding Pre-Qualification Application FY 2023-2024 Page | 7 7. References. Complete the following to identify Applicant’s references. Material Supplier References Material Supplier Name Material Supplier Address Material Supplier Contact Person Material Supplier Contact information _____________________________ ______________________________________ (Street Address) ______________________________________ (City, State and Zip Code) ______________________________ _______________________________ (Contact Phone Number) ________________________________ (Contact email) _____________________________ ______________________________________ (Street Address) ______________________________________ (City, State and Zip Code) ______________________________ _______________________________ (Contact Phone Number) ________________________________ (Contact email) _____________________________ ______________________________________ (Street Address) ______________________________________ (City, State and Zip Code) _______________________________ _______________________________ (Contact Phone Number) ________________________________ (Contact email) Public Agencies Agency Name Agency Contact Person Agency Address Agency Contact information _____________________________ _______________________________ ______________________________________ (Street Address) ______________________________________ (City, State and Zip Code) _______________________________ (Contact Phone Number) ________________________________ (Contact email) _____________________________ _______________________________ ______________________________________ (Street Address) ______________________________________ (City, State and Zip Code) _______________________________ (Contact Phone Number) ________________________________ (Contact email) _____________________________ _______________________________ ______________________________________ (Street Address) ______________________________________ (City, State and Zip Code) _______________________________ (Contact Phone Number) ________________________________ (Contact email) City of Palm Desert Informal Bidding Pre-Qualification Application FY 2023-2024 Page | 8 Architect References Architect Name Architect Contact Person Architect Address Architect Contact information _____________________________ _______________________________ ______________________________________ (Street Address) ______________________________________ (City, State and Zip Code) _______________________________ (Contact Phone Number) ________________________________ (Contact email) _____________________________ _______________________________ ______________________________________ (Street Address) ______________________________________ (City, State and Zip Code) _______________________________ (Contact Phone Number) ________________________________ (Contact email) _____________________________ _______________________________ ______________________________________ (Street Address) ______________________________________ (City, State and Zip Code) _______________________________ (Contact Phone Number) ________________________________ (Contact email) City of Palm Desert Informal Bidding Pre-Qualification Application FY 2023-2024 Page | 9 8. Essential Questions. An Applicant will not be pre-qualified if the response to any of the following essential questions results in a “Not Qualified” designation. 8.1. The Applicant possesses a valid and currently in good standing California Contractors’ license for the trade category(ies) for which the Applicant requests pre-qualification. ☐ Yes ☐ No (Not Qualified) 8.2. The Applicant is a DIR registered contractor. ☐ Yes ☐ No (Not Qualified) 8.3. Applicant maintains a commercial general liability insurance policy with a coverage amount of at least $1,000,000 per occurrence and $2,000,000 in the aggregate. ☐ Yes ☐ No (Not Qualified) 8.4. Applicant maintains an automobile liability insurance policy with a coverage amount of at least $1,000,000. ☐ Yes ☐ No (Not Qualified) 8.5. Applicant has a current workers’ compensation insurance policy as required by the Labor Code or is legally self-insured pursuant to Labor Code § 3700. ☐ Yes ☐ No (Not Qualified) ☐ Applicant is exempt from this requirement, because it has no employees 8.6. Applicant has bonding capacity of at least $200,000 per project and $1,000,000 in the aggregate for all projects. ☐ Yes ☐ No (Not Qualified) 8.7. Within the past 24 months, has the Applicant provided public works construction services under a direct contract with a public owner where the value of the construction services provided by the Applicant was greater than $50,000? ☐ Yes ☐ No (Not Qualified) 8.8. The Applicant is ineligible or debarred from submitting bid proposals for public works projects or public works contracts pursuant Labor Code § 1777.1 or Labor Code § 1777.7. ☐ Yes (Not Qualified) ☐ No 8.9. Within the past three (3) years a public agency has determined that the Applicant. or any predecessor to the Applicant, is not a “responsible” bidder for a public works project or a public works contract. ☐ Yes (Not Qualified) ☐ No 8.10. During the past three (3) years, the Applicant or any predecessor to the Applicant, or any of the equity owners of the Applicant been convicted of a federal or state crime involving fraud, theft, or any other act of dishonesty. ☐ Yes (Not Qualified) ☐ No 8.11. During the past three (3) years a Surety has completed any project or the Applicant’s obligations under a construction contract. ☐ Yes (Not Qualified) ☐ No City of Palm Desert Informal Bidding Pre-Qualification Application FY 2023-2024 Page | 10 8.12. The Applicant’s Worker’s Compensation Insurance prior five (5) year average Experience Modification Rating (“EMR”) rating over the past five (5) years is more than 1.5. ☐ Yes (Not Qualified) ☐ No 8.13. The Applicant’s Worker’s Compensation Insurance current average Experience Modification Rating (“EMR”) rating is more than 1.5. ☐ Yes (Not Qualified) ☐ No 8.14. CAL OSHA or OSHA has cited and assessed penalties against the Applicant for “serious and willful” or “repeat” violations of its safety or health regulations in the past five (5) years. ☐ Yes (Not Qualified) ☐ No 9. Asbestos Work; Hazardous Substance Removal Certifications. Each Applicant must respond to Questions 9.1 and 9.2 even if the Applicant does not request pre-qualification for asbestos work or hazardous material substance removal work. 9.1. Applicant possesses a current and in good standing ASB-Asbestos Certification issued by the California Contractors’ State License Board. ☐ Yes ☐ No (Not Qualified for asbestos-related work) 9.2. Applicant possess a current and in good standing HAZ-Hazardous Substance Removal Certification issued by the California Contractors’ State License Board. ☐ Yes ☐ No (Not Qualified for hazardous substance removal) 10. Authority and Certification. The undersigned is duly authorized to execute this Pre-Qualification Application under penalty of perjury on behalf of the above-identified Applicant. The undersigned warrants and represents that he/she has personal knowledge of each of the responses to this Pre- Qualification Application and/or that he/she has conducted all necessary and appropriate inquiries to determine the truth, completeness and accuracy of responses to this Pre-Qualification Application. The undersigned declares and certifies that the responses to this Pre-Qualification Application are complete and accurate; there are no omissions of material fact or information that render any response to be false or misleading; and there are no misstatements of fact in any of the responses. The Applicant acknowledges and agrees that if the City determines that any response herein is false or misleading or contains misstatements of fact, the Applicant will not be deemed qualified to participate in the City’s Informal Bidding procedures. Executed this ___ day of ________________, 20___ at ____________________________________. (City and State) I declare under penalty of perjury under California law that the foregoing is true and correct. By: _____________________________ Title: _____________________________ City of Palm Desert Informal Bidding Pre-Qualification Application Exhibit A: Pre-Qualification Trade Categories FY 2023-2024 Page | 11 PRE-QUALIFICATION APPLICATION; INFORMAL BIDDING; City of Palm Desert Municipal Code, 1392 Exhibit A: Pre-Qualification Classifications For the 2023-2024 Fiscal Year Each Applicant must check each trade category for which the Applicant requests to be pre-qualified. An Applicant must be a California licensed contractor for the classification of Contractors’ License required for each trade category for which pre- qualification is requested. Applicant Name: ___________________________________ CSLB License Classification ☐ A General Engineering ☐ C-32 Parking and Highway Improvement ☐ B General Construction ☐ C-33 Painting and Decorating ☐ C-2 Insulation and Acoustical ☐ C-34 Pipeline ☐ C-4 Boiler, Hot-Water Heating System Fitting ☐ C-35 Lathing and Plastering ☐ C-5 Framing and Rough Carpentry ☐ C-36 Plumbing ☐ C-6 Cabinetry, Millwork, Finish Carpentry ☐ C-38 Refrigeration ☐ C-7 General Low Voltage Electrical ☐ C-39 Roofing ☐ C-8 Concrete Contractor ☐ C-42 Sanitation System ☐ C-9 Drywall Contractor ☐ C-43 Sheet Metal ☐ C-10 Electrical ☐ C-45 Electrical Sign ☐ C-11 Elevator Contractor ☐ C-46 Solar ☐ C-12 Earthwork/Paving ☐ C-47 General Manufactured Housing ☐ C-13 Fence ☐ C-50 Reinforcing Steel ☐ C-15 Floor and Flooring ☐ C-51 Structural Steel Structural Steel ☐ C-16 Fire Protection/Fire Alarms ☐ C-53 Swimming Pool ☐ C-17 Glass ☐ C-54 Tile ☐ C-20 Warm-Air Heating and Air Conditioning ☐ D-56 Trenching ☐ C-21 Moving/Demolition ☐ D-59 Hydroseed Spraying ☐ C-22 Asbestos Abatement ☐ D-62 Air and Water Balancing ☐ C-23 Ornamental Metal Contractor ☐ D-63 Construction Cleanup ☐ C-27 Landscaping/Irrigation ☐ D-64 Non-specialized ☐ C-28 Doors, Locks, Security ☐ D-65 Weatherization and Energy Conservation ☐ C-29 Masonry Contractor ☐ ASB Asbestos Certification ☐ C-31 Construction Zone Traffic Control ☐ HAZ Hazardous Substance Removal Certification